A Sociolinguistic Analysis of In-Office Dialogue Reveals Psychiatrists and Parents Have Significantly Different Perceptions on ADHD and Psychiatric Comorbidities

percent). In post-visitinterviews parents most often reported conce... These results indicate psychiatrists can adopt several techniques to...About ADHD ...Approximately 7.8 percent of all school-age children or about 4.4mil...

percent). In post-visit
interviews, parents most often reported concern about aggression and
defiance; however, these behaviors that parents reported as "most
concerning" post-visit were unaddressed in one-third of the visits.

"These results indicate psychiatrists can adopt several techniques to
improve in-office communication about complicated ADHD, including
structuring visits, so that all voices are heard, discussing comorbidities
using language that is more comprehensible to parents, and eliciting
parents' expectations at the initiation of treatment," said Dr. Findling.
"By focusing on how time is spent and what types of questions are asked of
parents and patients, this can lead to successful expectation-setting with
both parents and patients. As a result, psychiatrists can have better
in-office discussions about ADHD as well as improved treatment of patients
suffering from complicated ADHD."

About ADHD

Approximately 7.8 percent of all school-age children, or about 4.4
million U.S. children aged 4 to 17 years, have been diagnosed with ADHD at
some point in their lives, according to the U.S. Centers for Disease
Control and Prevention (CDC). ADHD is one of the most common psychiatric
disorders in children and adolescents. The disorder is also estimated to
affect 8.1 percent of adults, or approximately 9.2 million adults across
the U.S. based on a retrospective survey of adults aged 18 to 44, projected
to the full U.S. adult population. ADHD is a neurobiological disorder that
manifests as a persistent pattern of inattention and/or
hyperactivity-impulsivity that is more frequent and severe than is
typically observed in individuals at a comparable level of development. To
be properly diagnosed with ADHD, a child needs to demonstrate at least six
of nine symptoms of inattention; and/or at least six of nine symptoms of
hyperactivity/impulsivity; the onset of which appears before age 7 years;
that some impairment from the symptoms is present in two or'/>"/>

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